What is it about?
Crohn's disease is not cured by surgery. We review the main strategies to assess and prevent clinical recurrence of Crohn's following surgery. We offer a potential clinical algorithm to guide practitioners management in the post operative setting.
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Why is it important?
As Crohn's is not cured with surgery, certain patients should be evaluated for empiric treatment to prevent clinical recurrence. Targeted therapy by routine endoscopy is an appealing method to determine need for therapy.
Perspectives
Once a patient undergoes surgery for Crohn's disease one of the key goals becomes how to prevent a second surgery. Even more so, we want to ensure we are maintaining clinical remission in the postoperative state. However, not every patient needs aggressive treatment after surgery. There are still many clinical unknowns with regards to risk stratification and timing of therapy. We present our own practice but acknowledge the limitations of the current literature.
Byron P Vaughn
University of Minnesota Twin Cities
Read the Original
This page is a summary of: Optimal delivery of follow-up care after surgery for Crohn’s disease: current perspectives, Clinical and Experimental Gastroenterology, August 2016, Dove Medical Press,
DOI: 10.2147/ceg.s96078.
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